REVENUE INTEGRITY

Healthcare organizations need to focus on their clinical operations to succeed in value-based healthcare. Revenue integrity solutions give you complete visibility into your own and your peers’ clinical documentation and coding. This helps you quickly identify opportunities to maximize reimbursements, minimize audit risk, and resolve operational challenges such as coding and billing delays.

Start the value-based care conversation by connecting clinical activity to financial impact, benchmarking against your peers, and using data to influence clinicians.

Ar-PRN Integrity Services are designed to evolve with you as healthcare changes. They give you the visibility you need to reduce denials, monitor the impact of documentation and coding on denials and other financial metrics, and reduce the risk of being audited.

Here are some of what our clients have achieved:

  • Decreased time spent managing denials by 30%
  • Increased case mix index by 35%
  • Decreased take-backs by 25%
FASTER INSIGHTS FOR BETTER OUTCOMES

Whether you would like a quick, top view, benchmark comparisons, or detailed dive-down analysis, Revenue Integrity offers fast answers to your important questions. By identifying where your money is lost and where the risk areas lie, Revenue Integrity enables you to:

Improve Revenue Capture

When your coding and documentation accurately reflect the severity of complications related to patient interactions, you will be reimbursed accordingly.                        

Monitor Coding Performance

Revenue integrity helps you reduce denials, capture missed diagnosis codes, identify coding and billing bottlenecks, and collaborate with clinicians on documentation practices that improve specificity.

Reduce Your Audit Risk

It’s not about maximizing revenue, but about finding the right revenue. Reduce take-backs by protecting your revenue and managing compliance with insights into audit risk, appeal success rates, and audit volumes.

Analytics in Action

Our intelligent platform with an intuitive interface makes it easy to unlock the value of your data. Here are the ways Ar-PRN uses meaningful insights, powerful visualization, and analytics innovation to facilitate even smarter decision-making:

  • Monitor principal metrics for Key Performance Indicators
  • Evaluate coding performance because it relates to denials
  • Understand the explanations for your mid-cycle denials